Regenerative Spine and Body Clinic

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

Legal business name

REGENERATIVE SPINE AND BODY CLINIC

Practice address

155 Jackson Ave
Suite C
Satellite Beach, FL 32937-2993

Phone

(321) 777-3677

Fax

(321) 779-8344

NPI assigned

Oct 16, 2014

Last updated

Nov 18, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Ville, D.C.NPI 1497883227

Title

Owner

Phone

(321) 777-3677

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael David Ville, DC

  • Orthopedic Chiropractor
  • Satellite Beach, FL
  • NPI 1497883227
  Medicare reassignment Care Compare group NPD Authorized official
• Sophie Marie Ville Pitten, DC

  • Chiropractor
  • Satellite Beach, FL
  • NPI 1154028132
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1144624321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 JACKSON AVE",
            "address_2": "SUITE C",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372993",
            "telephone_number": "321-777-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 JACKSON AVE",
            "address_2": "SUITE C",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372993",
            "telephone_number": "321-777-3677",
            "fax_number": "321-779-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE SPINE AND BODY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "VILLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-777-3677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Chiropractor in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Orthopedic Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.